AULTIMATE DIMENSION BEHAVIORAL HEALTH SERVICES LLC
NPI: 1508646506
· BALTIMORE, MD 21211
· Psychiatric/Mental Health Nurse Practitioner
· NPI assigned 10/05/2023
$209K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
42 |
$3K |
| 2024 |
1,647 |
$206K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90834 |
Psychotherapy, 45 minutes with patient |
871 |
395 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
350 |
266 |
$47K |
| 99205 |
Prolong outpt/office vis |
117 |
117 |
$28K |
| 99215 |
Prolong outpt/office vis |
134 |
124 |
$26K |
| 90836 |
|
116 |
116 |
$12K |
| 90791 |
Psychiatric diagnostic evaluation |
51 |
51 |
$9K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
50 |
48 |
$3K |